Deficiency Records for Welch Community Hospital
Updated as of October 01, 2014
This is not the most recent data for Welch Community Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Welch Community Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-10-10 | 2013-11-18 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-10-10 | 2013-11-18 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-10-10 | 2013-11-18 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-10-10 | 2013-11-18 | N |
Maintain comfortable and safe temperature levels. | Health | 2013-10-10 | 2013-11-18 | N |
Completely assess the resident at least every twelve months. | Health | 2013-10-10 | 2013-11-18 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-10-10 | 2013-11-18 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-10-10 | 2013-11-18 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-10-10 | 2013-11-18 | N |
Provide food in a way that meets a resident's needs. | Health | 2013-10-10 | 2013-11-18 | N |
Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2013-10-10 | 2013-11-18 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2013-10-10 | 2013-11-18 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-10-10 | 2013-11-18 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2013-10-10 | 2013-11-18 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-10-10 | 2013-11-18 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2012-11-29 | 2013-01-03 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2012-11-29 | 2013-01-03 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2012-11-29 | 2013-01-03 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2012-11-29 | 2013-01-03 | N |
Provide housekeeping and maintenance services. | Health | 2012-11-29 | 2013-01-03 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2012-11-29 | 2013-01-03 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2012-11-29 | 2013-01-03 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2012-11-29 | 2013-01-03 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2012-11-29 | 2013-01-03 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2012-11-29 | 2013-01-03 | N |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2012-11-29 | 2013-01-03 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2010-06-04 | 2010-09-10 | N |
Keep all essential equipment working safely. | Health | 2010-06-04 | 2010-09-10 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2010-06-04 | 2010-08-18 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2010-06-04 | 2010-08-18 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2010-06-04 | 2010-08-18 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2010-06-04 | 2010-08-18 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2010-06-04 | 2010-08-18 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2010-06-04 | 2010-08-18 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2010-06-04 | 2010-08-18 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2010-06-04 | 2010-08-18 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2010-06-04 | 2010-08-18 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2010-06-04 | 2010-08-18 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2010-06-04 | 2010-08-18 | N |
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2010-06-04 | 2010-08-18 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2010-06-04 | 2010-08-18 | N |
Post nurse staffing information/data on a daily basis. | Health | 2010-06-04 | 2010-08-18 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2010-06-04 | 2010-08-18 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2010-06-04 | 2010-08-18 | N |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2010-06-04 | 2010-08-18 | N |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2010-06-04 | 2010-08-18 | N |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2010-06-04 | 2010-08-18 | N |
Keep clinical record information safe. | Health | 2010-06-04 | 2010-08-18 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2010-06-04 | 2010-08-18 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2010-05-27 | 2010-06-16 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2010-05-27 | 2010-06-16 | N |
Exits that are accessible at all times. | Fire Safety | 2012-11-30 | Not Fixed | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2012-11-30 | Not Fixed | N |